NPI | 1699946293 |
---|---|
Former Name | ARACELLY LATINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23903) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36870) |
Enumeration Date | 2008-03-21 |
Last Update Date | 2020-04-16 |